Research Reports - Subtle motor findings during recovery from pediatric traumatic brain injury

J Mot Behav. 2016 Sep 16:1-7. [Epub ahead of print]

Stephens J(1,)(2), Salorio C(1), Denckla M(1,)(3,)(4), Mostofsky S(1,)(3,)(5),
Suskauer S(1,)(2,)(5).

Pediatric traumatic brain injury (TBI) is a heterogeneous condition, varying in
both severity and sequelae. The long-term motor deficits following severe TBI
requiring inpatient rehabilitation are better established than those following
milder forms of TBI. The authors examined motor performance 2 and 12 months
postinjury in children without overt motor impairment using standard measures of
upper limb function and the Physical and Neurological Examination for Subtle
Signs (PANESS). The PANESS was sensitive to differences between children with TBI
and uninjured children as well as to changes in children with TBI over time.
These data suggest that subtle motor deficits are present after milder forms of
TBI and, particularly those related to balance and gait, may persist even 12
months postinjury. 

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